Double-layered hand-sewn anastomosis: a valuable resource for the colorectal surgeon Article Swipe

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Anastomosis Medicine Surgery Bowel preparation General surgery Colorectal surgery Colonoscopy Internal medicine Abdominal surgery Colorectal cancer Cancer

Cristopher Varela , Manar Nassr , Azharuddin Razak O , Nam Kyu Kim ·

YOU? · · 2022 · Open Access · · DOI: https://doi.org/10.3393/ac.2021.00990.0141 · OA: W4220899630

Hand-sewn anastomosis is an essential and fundamental skill for surgeons dealing with any gastrointestinal anastomosis. Despite the advances in minimally invasive surgery and stapling devices, there are still complex surgical circumstances when the surgeon’s surgical know-how are necessary. Therefore, a safe hand-sewn technique for bowel anastomosis is required to establish a tension-free, well-perfused, and sealed anastomosis that allows gastrointestinal continuity with no unexpected complications. We describe a step-by-step procedure for hand-sewn double-layered anastomosis that reflects these principles and is practical for small and large bowel anastomosis.